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AMAZON PEDIATRICS INC
NPI 1871861229
Pediatrics in Naples, FL

Active since December 13, 2011CLIA 10D1081207 · Waiver
4075 PINE RIDGE RD STE 2, NAPLES, FL 34119(239) 963-9855(239) 963-9857 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 26, 2017 (2 updates tracked since 2017).

About Amazon Pediatrics Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMAZON PEDIATRICS INC (NPI 1871861229) is a healthcare organization registered as a pediatrics in Naples, Florida and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Leticia Mendez, President, as its authorized official.

NPPES Registry Identity

NPI1871861229
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameAMAZON PEDIATRICS INC
Location Address4075 PINE RIDGE RD STE 2Naples, FL 34119-4004
Mailing Address4075 Pine Ridge Rd, Suite #2Naples, FL 34119 · (239) 963-9855 · Fax (239) 963-9857
Phone(239) 963-9855
Fax(239) 963-9857
Organization SubpartNo
Authorized OfficialLeticia MendezPresident · (239) 963-9855
Enumeration DateDecember 13, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1871861229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4075 PINE RIDGE RD STE 2, Naples, FL 34119
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Other Identifiers 1

Medicaid261894000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amazon Pediatrics Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Amazon Pediatrics Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Suzanna Boka, MD
Internal Medicine
NPI 1457436677
8855 IMMOKALEE RD
Naples, FL 34120
(239) 331-8520
✔ PECOS4.3 mi
Lazara Garcia Cabezas
Nurse Practitioner
NPI 1003415092
50 JOEL BLVD
Lehigh Acres, FL 33936
(239) 491-9929
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1081207

Amazon Pediatrics · Naples, FL
Active · expires Mar 11, 2028
CLIA Number10D1081207
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorSuzanna P. Boka
Laboratory Phone(239) 963-9855
Laboratory LocationAmazon Pediatrics4075 Pine Ridge Rd Ste 2, Naples, FL 34119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amazon Pediatrics Inc's NPI number?

The NPI number for Amazon Pediatrics Inc is 1871861229. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Amazon Pediatrics Inc located?

Amazon Pediatrics Inc is located at 4075 Pine Ridge Rd Ste 2, Naples, FL 34119. The listed phone number is (239) 963-9855.

What is Amazon Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amazon Pediatrics Inc enrolled in Medicare?

Yes. Amazon Pediatrics Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amazon Pediatrics Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Amazon Pediatrics Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Amazon Pediatrics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1081207) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amazon Pediatrics Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.